A comparison of resin infiltration and microabrasion for postorthodontic white spot lesion

Abstract Early diagnosis of white spot lesions allows non-invasive treatment to be indicated for the remineralization of active lesions. The goal was to report the clinical Protocol for the treatment of white spot lesion of a patient by the technique of resin infiltration, observing whether there is change of color on the white spot of the dental enamel after its treatment. The selected patient was 16 years old with good overall health, who featured white spot lesion of the dental enamel on tooth 13, classified as ICDAS score 2. The tooth was photographed, and its color was evaluated with the spectrophotometer in accordance with the CIELhC system. For comparison purposes, the color of tooth enamel in an area adjacent to the lesion was evaluated. The treatment of the lesion was performed with the resin infiltrate Icon (DMG, Hamburg, Germany), following the manufacturer's instructions. The color of the tooth was re-evaluated after the application of the resin infiltrate. At the end of the procedure, it was observed that the treatment of white spot lesion by resin infiltration technique reached its goal because, in addition to being minimally invasive, it was highly approved by patient and it provided the masking of the white spot lesion on the dental enamel. Keywords: Dental Caries. Dental Enamel. Composite Resins. ResumoO diagnóstico precoce de lesões de mancha branca permite que um tratamento não invasivo seja indicado para a remineralização das lesões ativas. O objetivo foi relatar o protocolo clínico para tratamento de lesão de mancha branca ativa de um paciente pela técnica do infiltrante resinoso, observando se existe alteração de cor da mancha branca do esmalte dental após o seu tratamento. Foi selecionada uma paciente, de 16 anos de idade, com boa saúde geral e que apresentava lesão de mancha branca no esmalte dental do dente 13, classificada pelo escore 2 do ICDAS. O dente foi fotografado e sua cor foi avaliada com o espectrofotômetro de acordo com o sistema CIELhC. Para fins de comparação, foi avaliada a cor do esmalte dental em uma área adjacente à lesão. O tratamento da lesão foi realizado com a resina infiltrante Icon (DMG, Hamburgo, Alemanha), seguindo as recomendações do fabricante. A cor do dente foi reavaliada após a aplicação do infiltrante. Ao final do procedimento, observou-se que o tratamento da lesão de mancha branca pela técnica da resina infiltrante atingiu seu objetivo pois, além de ter sido minimamente invasiva, foi bem avaliada pela paciente e proporcionou o mascaramento da lesão de mancha branca do esmalte dental. Palavras-chave: Cárie Dentária. Esmalte Dentário. Resinas Compostas.

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Unconventional Non-Invasive Diagnostic Techniques and Treatment of White Spot Lesions in Paediatric Dentistry and Orthodontics

European Scientific Journal ESJ ◽

10.19044/esj.2017.v13n15p339 ◽

2017 ◽

Vol 13 (15) ◽

pp. 339

Author(s):

Ogodescu Alexandru ◽

Igna Andreea ◽

Ogodescu Emilia ◽

Luca Magda

Keyword(s):

Early Stage ◽

New Technology ◽

Diagnostic Techniques ◽

White Spot ◽

White Spot Lesion ◽

White Spot Lesions ◽

Resin Infiltration ◽

Non Invasive ◽

Infiltration Technique ◽

Carious Process

Minimal Intervention Dentistry (MID), a concept that aims to minimize the interventional procedures applied on teeth affected by dental caries, emphasizes the importance of prevention and detection of lesions in early stage. The white spot lesion (WSL) is the first visible stage of the carious process, affecting the enamel. Their detection and treatment has been significantly improved in the last decade through new technology available. Our paper describes a non-invasive detection method, using a lighttransmission device (transillumination of the teeth using Diagnocam, by Kavo) , combined with a resin infiltration technique (using Icon, by DMG) of the WSL.

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Esthetic comparison of white-spot lesion treatment modalities using spectrometry and fluorescence

The Angle Orthodontist ◽

10.2319/032113-232.1 ◽

2013 ◽

Vol 84 (2) ◽

pp. 343-349 ◽

Cited By ~ 23

Author(s):

He Yuan ◽

Jiyao Li ◽

Liang Chen ◽

Lei Cheng ◽

Richard D. Cannon ◽

...

Keyword(s):

Color Change ◽

White Spot ◽

Treatment Modalities ◽

Control Group ◽

White Spot Lesion ◽

Treatment Groups ◽

Resin Infiltration ◽

Human Enamel ◽

Baseline Values ◽

Casein Phosphopeptide

ABSTRACT Objective: To compare the esthetic improvements of white-spot lesions (WSLs) treated by fluoride, casein phosphopeptide amorphous calcium phosphate (CPP-ACP), or resin infiltration. Materials and Methods: WSLs were created on human enamel and randomly assigned to four groups: NaF (500 ppm), CPP-ACP, resin infiltration (Icon), or distilled deionized water (DDW; control group). The color change (ΔE) of each specimen was measured with a Crystaleye spectrophotometer, and fluorescence loss (ΔQ) was measured by quantitative light-induced fluorescence (QLF), at different time points after treatment: baseline (0 weeks), 2 weeks, 4 weeks, and 6 weeks. Results: The ΔE and ΔQ baseline values for the four groups before the treatments did not differ significantly. Icon treatment improved the WSL color significantly and gave the lowest ΔE (2.9 ± 1.2 on average) compared with other treatments (P < .01). The Icon treatment also resulted in a significant change in the ΔQ of WSLs compared with baseline (P < .01). In the NaF and CPP-ACP treatment groups, ΔQ showed significant recovery compared with the baseline values only after 4 weeks after treatment (P < .05). Conclusions: Resin infiltration is more effective than NaF or CPP-ACP in providing esthetic improvement of WSLs.

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Spectrophotometric evaluation of white spot lesion treatment using novel resin infiltration material (ICON®)

Journal of Conservative Dentistry ◽

10.4103/jcd.jcd_52_18 ◽

2018 ◽

Vol 21 (5) ◽

pp. 531 ◽

Cited By ~ 4

Author(s):

PurnimaKumari Penta ◽

KrishnaL Prasada ◽

KM Ramya

Keyword(s):

White Spot ◽

White Spot Lesion ◽

Resin Infiltration ◽

Lesion Treatment

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Systematic Review on White Spot Lesions Treatments

European Journal of Dentistry ◽

10.1055/s-0041-1731931 ◽

2021 ◽

Author(s):

Francesco Puleio ◽

Luca Fiorillo ◽

Francesca Gorassini ◽

Alfredo Iandolo ◽

Aida Meto ◽

...

Keyword(s):

Systematic Review ◽

White Spot ◽

White Spot Lesion ◽

White Spot Lesions ◽

Efficient Treatment ◽

Resin Infiltration ◽

Ovid Medline ◽

Infiltration Technique ◽

The Difference ◽

The Aesthetic

AbstractThe difference in refractive index between the healthy enamel and the demineralized area generates a lesion with a milky white opaque appearance, clearly distinguishable from the surrounding healthy enamel. The aim of this systematic review is to evaluate if the infiltration technique is the most efficient treatment to resolve a white spot lesion when compared with remineralization and microabrasion techniques. The Population/Intervention/Comparison/Outcome question investigated: “in enamel WS lesion, the infiltration treatment compared to remineralization or microabrasion treatments is more or less effective in the camouflage effect?” The research was performed on electronic databases, including Ovid MEDLINE, PubMed, and web of science. The search was conducted up to April 1, 2020. The scientific search engines produced 324 results. Only 14 were screened after screening. Based on the articles analyzed in this systematic review, the resin infiltration technique seems to be the most effective and predictable treatment for the aesthetic resolution of WSLs.

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Effect of Two Resin Infiltration on Color Masking of Artificial Enamel White Spot Lesion Using Different Pretreatment Methods. (An in Vitro Study)

Dental Science Updates ◽

10.21608/dsu.2020.14906.1006 ◽

2020 ◽

Vol 1 (1) ◽

pp. 31-38

Author(s):

noha hagag ◽

Ola Fahmy ◽

Emad Abo Alazm

Keyword(s):

In Vitro Study ◽

Vitro Study ◽

White Spot ◽

White Spot Lesion ◽

Resin Infiltration

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Color evaluation of white spot lesions treated with resin infiltration after water or grape juice storage

Brazilian Journal of Oral Sciences ◽

10.20396/bjos.v19i0.8658336 ◽

2020 ◽

Vol 19 ◽

pp. e201674

Author(s):

Adilson Yoshio Furuse ◽

Constantino Fernandes Neto ◽

Genine Moreira de Freitas Guimarães ◽

Bianca Rodrigues Terrabuio ◽

Fabio Antonio Piola Rizzante ◽

...

Keyword(s):

Grape Juice ◽

Color Stability ◽

White Spot ◽

White Spot Lesion ◽

White Spot Lesions ◽

Drying Time ◽

Resin Infiltration ◽

Color Changes ◽

Storage Methods

Aim: To evaluate the color stability of bovine enamel with artificial white spot lesions treated with resin infiltration (ICON) or remineralization with fluoride using two storage methods. Methods: Sixty incisors were submitted to artificial white spot lesion induced by demineralization-remineralization (DE-RE) cycling. Initial color was evaluated with CIE-Lab to measure ΔEab. Demineralized teeth were divided according to the treatment of the white spot lesion (n = 20): 1) Remineralization with 2% neutral fluoride gel for 4min (control); 2) ICON application following manufacturer’s recommendations; and 3) ICON with decreased drying time after the application of ethanol. After 24h, color was evaluated and samples were subdivided (n = 10) according to storage: 1) distilled water for 1 month; 2) grape juice for 10min daily. After storage, color was evaluated. L*, a* and b* data were analyzed by one-way ANOVA and ∆Eab data by two-way ANOVA followed by Tukey’s HSD (α = 0.05). Results: L* was affected by juice storage, and decreased when ICON was applied with decreased drying time after the ethanol application. The same behavior occurred with a* (increase with reduced drying time), while b* was not affected. For ∆Eab significant differences were observed between groups (p = 0.0219) and storage methods (p = 0.0007). There was no interaction effect (p = 0.1118). Remineralization with fluoride presented the lowest color changes after storage in water. Conclusion: Treatment of artificial carious lesions with resin infiltration presented greater color changes than fluoride remineralization after storage in both solutions in vitro.

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